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非直视经纤支镜肺活检联合细胞学检查对周围型肺癌的诊断价值 被引量:7

The diagnostic value of blind bronchoscopy combined with cytology on peripheral lung cancer
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摘要 目的探讨非直视经纤支镜肺活检(TBLB)联合多种细胞学检查对周围型肺癌的诊断价值。方法采用回顾性分析对该院3年来进行非直视TBLB(简称盲检)并最终诊断为周围型肺癌的111例患者进行总结。结果 111例确诊为周围型肺癌的患者中盲检阳性68例(61.26%),支气管肺泡灌洗阳性26例(23.42%),刷片阳性25例(22.52%),痰检阳性14例(12.61%),四种方法联合阳性80例(72.07%)。结论盲检联合BALF、刷片及痰检对诊断周围型肺癌有较高的阳性率。 [ Objective ] To study the value of bronchoscopy combining cytology on the diagnosis of peripheral lung cancer under blind conditions. [ Methods ] A retrospective analysis was applied to 111 patients, who underwent blind bronchoscopy and were finally diagnosed with peripheral lung cancer, in Zhongda hospital from July 2008 to July 2011. [Results] Among 111 patients diagnosed with peripheral lung cancer: Transbronchial Lung Biopsy (TBLB) positive 68 cases (61.16%), Bronchoalveolar Lavage Fluid (BALF) positive 26 cases (23.42%), brushing posi- tive 25 cases (22.52%), sputum positive 14 cases (12.61%), four methods combined positive 80 cases (72.07%). [ Conclusion ] There was a higher positive rate with TBLB combined with BALF, brushing and sputum in the diag- nosis of peripheral lung cancer under blind conditions.
出处 《中国内镜杂志》 CSCD 北大核心 2012年第6期571-575,共5页 China Journal of Endoscopy
关键词 周围型肺癌 纤维支气管镜 细胞学检查 peripheral lung cancer bronchoscopy cytology
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